PARALYSIS, PARAPLEGIA, QUADRIPLEGIA

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	GB-26, GB-30, Shenji, Tiaoyue, Siqiang Electroacupuncture SI-3 to UB-62, Bilateral ST-36 , SP-10 to SP-4 1. Huatoujiaji between the 1-2 spinal processes above and below the level of injury, DU-4, GB-30, UB-23, UB-25, UB-28, UB-32, UB-36, UB-37, UB-40, UB-57, UB-60 2. GB-31, GB-34, GB-40, LIV-3, REN-3, REN-4, REN-6, REN-12, SP-6, ST-25, ST-36 For quadriplegia: + GB-20, LI-4, LI-11, LI-15, SJ-3, SJ-4, SJ-5 For urinary incontinence: Group 1: UB-23, UB-25, UB-28, UB-32, UB-40, UB-57, UB-60 Group 2: GB-34, LIV-3, REN-3, REN-4, REN-12, REN-6, SP-9, SP-6, ST-25 Huatoujiaji below below the level of injury, Upper limbs: HT-l, LU-5, LI-4, LI-11, SJ-5 Lower limbs UB-40, SP-6, GB-34, LIV-3 Main points: GB-30, LI-10, PC-2, ST-36 Secondary points: GB-20, GB-34, GB-39, GB-41, LI-4, LI-11, LI-15, LIV-3, SI-3, SJ-5, SJ-14, SP-10, ST-41, UB-60, UB-62 For stiffness of the tongue and difficulty speaking: + DU-15, REN-23, SJ-1 For complete loss of speech: + Heavy stimulation on REN-12, REN-23 (2.5 cun toward the root of the tongue) With dizziness or hypertension: GB-20, LIV-3 For urinary incontinence: + UB-23, ("Burning Mountain" technique) For retention of urine or difficult urination: + LI-6, SJ-4 For constipation: + SJ-6, ST-25, UB-25 Main points (upper limb): GB-21, LI-15, LI-11, LI-4, SJ-3 Brachial plexus: + Yeling, SI-9 Radial nerve: + LU-5, LI-11 Median nerve: + PC-3, PC-6 Main points (lower limb): GB-21, GB-38, GB-34, ST-36, UB-60 Femoral nerve: + LIV-11, SP-12 Sciatic nerve: + UB-52, UB-37 Common perineal nerve: + Houyangquan Superficial perineal: + Lingxia Deep Perineal: + ST-36 Tibial: + UB-54, UB-57 Hypoglossal Muscle: DU-15, LI-4, REN-23 Shoulder: Abduction (deltoid and supraspinatus): Naoshang, LI-15 Forward movement (coracobrachialis, anterior insertion of the deltoid): Jianneiling Raising the arm backward (latissimus dorsi, teres major, posterior insertion of the deltoid): UB-17, UB-19, SI-9, SJ-14 Arm: 1. Jingbi, SI-9, SI-11 2. Jingbi, LI-15, SI-9, SI-10 Elbow: Lifting the lower arm at the elbow (biceps brachii, brachialis): Gongzhong, electroacupuncture Gongzhong to Jubi External lower arm at the elbow (triceps brachii): Yingshang + electroacupuncture LI-15 to Yingshang Wrist: External wrist (ulnar, radial extensors): Yingxia, SJ-9, LI-10, LI-8 Wrist flexion (ulnar and radial flexors): Bizhong Wrist drop: electroacupuncture LI-11 to LI-6 Fingers: Extended: LI-4 through to PC-8 or electroacupuncture LI-4 to PC-8 Curled: LI-4 through to PC-8 or electroacupuncture LI-4 to PC-8 or LI-4 through to SI-3 or electroacupuncture LI-4 to SI-3 Hip: Flexor muscles (psoas major): GB-27 horizontally along the hip or Shuxi, GB-27 Extensor muscles (gluteus maximus, biceps femoris, semimembranosis, semitendinosis): UB-37 or Zhili, electro-acupuncture UB-53 to GB-30 Obstruction (gluteus medius, gluteus minimus): Tiaoyue or electro-acupuncture Tiaoyue to GB-29 or electroacupuncture GB-33 to GB-31 Adduction (adductor magnus, adductor longus, adductor brevis): Jiejian, Jixia, LIV-9 + electroacupuncture Houxuehai to Jiejian Leg: 1. GB-30, GB-34, GB-39 2. GB-31, GB-34, ST-33 3. LIV-8 through to GB-33, SP-9 through to GB-34 4. Shiqihuixia, UB-26 5. Jianxi, Maibu, ST-36, Waiyinlian, Xinfutu 6. GB-30, Jianxi, Maibu, ST-36, UB-37 7. GB-31, Linghuo, Maibu, ST-32 8. GB-30, Jianxi, Linghuo Thigh: LIV-8, SP-4, SP-9, ST-33, UB-20, UB-23, UB-25, UB-31 Knee: Extension (quadriceps femoris): ST-32, Maibu, Jianxi, electro-acupuncture Jianxi to ST-32 Flexion: UB-37, Zhili or electroacupuncture UB-37 to UB-40 Foot: Plantar flexion: UB-55, UB-57, Genjin Dorsal extension: ST-36, Lishang, Jingxia Medial deviation: UB-57, Jiuwaifan #2 Lateral deviation: GB-34, Jiuneifan, GB-39 Drop foot: electroacupuncture ST-36 to ST-34 Rigid foot: electroacupuncture UB-40 to UB-57 Inward club foot: electroacupuncture GB-34 to GB-39 Outward club foot: electroacupuncture UB-58 to KI-8 Fingers and toes: The twelve Jing-Well points, Shiwang, Qiduan Hypoglossal Muscle: DU-15, LI-4, REN-23 Diaphragm: GB-25, LIV-13, REN-6, SP-6, ST-19, ST-36, UB-17, UB-18 Abdominal Muscles: DU-3, DU-4, REN-6, REN-12, SP-6, ST-36, UB-20, UB-22, UB-23, UB-25 Upper Limb: GB-23, GB-24, LI-10, LI-11, LI-15, SI-9, SI-11, SP-20, UB-52 Lower Limb: GB-30, GB-34, KI-7, SP-5, SP-6, ST-37, ST-38, ST-39, UB-40, UB-58 Median Nerve: 1. GB-21, PC-2, PC-4, PC-5, PC-6, PC-7, SI-14, SI-15, SJ-5, UB-52 2. GB-21, LU-3, PC-3, PC-4, PC-7, PC-8, SI-15, UB-10 3. Bizhong, Jingbi, PC-6 Radial Nerve: 1. GB-21, LI-2, LI-3, LI-4, LI-6, LI-10, LI-11, LI-15, LU-6, LU-9, LU-10, LU-11, UB-52 2. GB-21, LI-3, LI-9, LI-11, LI-15, LU-10, SJ-4 3. LI-4, LI-5, LI-10, LI-16, LU-11, SJ-13 4. LI-11, LI-15, Jingbi Ulnar Nerve: 1. HT-2, HT-3, HT-4, HT-7, PC-4, SJ-5, UB-52 2. GB-21, HT-7, SI-3, SI-7, SI-8, SI-13, SI-15, SJ-10, SJ-14 3. Jingbii, SI-7, SI-8 Mandibular Nerve: DU-20, GB-20, LI-4, SJ-17, SJ-21, ST-4, ST-6, ST-7 Sublingual Nerve: GB-5, GB-20, HT-5, LI-17, PC-7, REN-23, UB-10 Long Thoracic Nerve: LU-1, PC-1, SI-14, SP-19, UB-10 Circumflex Nerve: LI-11, LI-15, LI-16, SJ-14, UB-10, UB-11 Anterior Thoracic Nerve: KI-23, KI-25, KI-27, SI-15, ST-14, ST-16, UB-10, UB-11 Rhomboid Nerve: 1. LI-11, SI-13, SI-15, UB-11, UB-13, UB-36 2. GB-21, SI-10, SI-12, SI-14, SJ-10, UB-12 Upper Subscapular Nerve: LI-11, LI-15, SI-9, SI-10, SI-11, SI-13, SJ-13, SJ-14 Obturator Nerve: 1. GB-30, SP-6, UB-25, UB-29, UB-36, UB-40, UB-57 2. GB-34, GB-38, ST-41, UB-26, UB-32, UB 37, UB-54, UB-57 Tibial Nerve: 1. KI-3, SP-6, SP-9, SP-11, UB-25, UB-31, UB-36 2. KI-6, LIV-8, SP-5, SP-9, UB-26, UB-32, UB-57 Perineal Nerve: 1. GB-30, GB-38, ST-36, UB-25, UB-32, UB-60, UB-65 2. GB-34, UB-26, UB-31, UB-54, UB-59, UB-62, UB-67

WIND

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head Paralysis Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Cold Copious sputum T: Normal C: Thin and white P: Superficial
Treatment Principle	Dispel Wind Alleviate pain
Herb Formulas	Chuan Xiong Cha Tiao Wan
Points	General points

WIND-COLD INVASION DUE TO WEI QI DEFICIENCY

Clinical Manifestations	Hemiplegia Asymmetry of the face Paralysis of the face Slow and slurred speech Aphasia Fever and chills Semi-consciousness Loss of consciousness Convulsions Neck rigidity Limited movement of the joints Loss of consciousness Muscle spasms Paralysis Low back pain Numbness of the muscles and skin Hemiplegia Urticaria T: Pale C: Thin and white P: Floating and Empty or Tense or Wiry and tense
Treatment Principle	Warm the channels Disperse Wind Releases Yang Supports the Qi
Herb Formulas	Xiao Xu Ming Tang With Qi and Blood Deficiency: Xu Ming Tang
Points	General points

WIND-HEAT BI

Clinical Manifestations	Whole body numbness Deviation of mouth and eyes Numbness of skin Dysphagia due to stiffness of the tongue Facial paralysis Hemiplegia Rigidity of the extremities Spasms of the extremities Aversion to Cold Fever Chills Aching joints Tingling of the skin Paralysis of the extremities Numbness and lack of sensation in the hands and feet Common cold (with above symptoms) Inability to walk Wandering joints pain T: Pink or Red C: White or Thin yellow P: Superficial or Superficial and wiry or superficial and tight or Wiry and thin
Treatment Principle	Dispel Wind Clear Heat Circulate Qi Dredge the channels Nourish and invigorate the Blood Harmonize the Ying and Wei
Herb Formulas	Da Qin Jiao Tang
Points	General points

WIND-DAMPNESS

Clinical Manifestations	Wandering joint pain, especially the wrists, elbows, knees and ankles Chills and fever Atrophy above and below the knees Limited movement Paralysis of knees One or both knees swollen, enlarged and painful Stiffness of knees Legs so weak and sore after dysentery that it is difficult to walk Generalized pain and numbness in the legs Hemiplegia Dizziness Neuralgia Paralysis, stiffness, swelling and pain of feet Atrophy of the leg muscles Chest oppression Lumbago Tinnitus T: Pink or Pale and swollen or Red C: Thin white or Greasy white P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle	Dispel Wind Activate Qi and Blood TonifY Qi and Blood Eliminate Cold-Dampness TonifY Yang Strengthen the muscles, tendons and bones
Herb Formulas	Da Fang Feng Tang Ma Xing Yi Gan Tang
Points	General points

WIND-DAMPNESS WITH QI AND BLOOD DEFICIENCY

Clinical Manifestations	Joint pain Numbness Bones and joints sore and painful Worse with movement Face is dull yellow Spasms or contractures of muscles and sinews Palpitations Asthenia Shortness of breath Spontaneous sweating Weight loss Poor appetite Diarrhea T: Pale C: None or White P: Soggy and Weak or Thin and Faint
Treatment Principle	Activate the functions of the Liver and Kidneys Strengthen Qi Nourish the Blood Expel Wind and Dampness Stop numbness and pain
Herb Formulas	Ba Xian Tang Jia Wei Ba Xian Tang
Points	General points

WIND-COLD-DAMPNESS

Clinical Manifestations	Paralysis Sciatica pain The pain is intense and moves around Swollen painful joints (especially lower limbs) Joints are warm to the touch (may be burning and swollen) The pain is worse at night Reduced range of motion Joint degeneration or deformity in the lumbar region Chills Anhidrosis Weight loss Shortness of breath Muscular atrophy Difficulty walking and moving Thirst Hemiplegia Rigidity of the limbs Headache Dizziness Vertigo Nausea Vomiting Edema Emaciation Swollen feet Numbness of the extremities Paralysis Fatigue T: Normal C: White and greasy or Thin, yellow and greasy P: Wiry and slippery or Slippery and rapid
Treatment Principle	Unblock Yang Qi Promote the movement of Qi Dispel Wind Eliminate Dampness Clear Heat Unblock the channels and collaterals Stop pain
Herb Formulas	Jia Wei Huo Luo Dan Bai Zhu Fu Zi Tang With Kidney and Liver Yin Deficiency: Du Huo Ji Sheng Tang With Blood Stagnation and Phlegm: Xiao Huo Luo Dan Recurrent: Gui Zhi Shao Yao Zhi Mu Tang
Points	GB-30, GB-34, GB-39, GB-41, HuatuojiajiL-2-L-5, UB-23, UB-30, UB-31, UB-32, UB-36, UB-37, UB-40, UB-52, UB-57, UB-60 DU-2, GB-30, GB-31, GB-34, GB-39, GB-43, ST-31, ST-32, ST-34, ST-36, ST-41, UB-23, UB-25, UB-31, UB-31, UB-33, UB-34, UB-36, UB-40, UB-57, UB-58, UB-60, Yaoyan GB-30, GB-34 Lumbosacral pain: + UB-23, UB-25, UB-31, UB-31, UB-33, UB-34 Lower limb pain: + GB-31, GB-39, ST-32, ST-36, UB-36, UB-37, UB-40, UB-60 Electroacupuncture Huatuojiaji L-4 or L-5 to GB-34 or GB-40, GB-30 or UB-52 to GB-34 or GB-40 For pain in the low back or legs: 1. GB-30, GB-31, ST-33, UB-40, UB-57, UB-60, UB-62 2. DU-26, UB-40 For weak low back and legs: GB-30, GB-34, ST-39, UB-41 For pain in the low back and knees: GB-30, GB-34, SI-6, UB-40 For pain in the low back and hips: 100 cones of moxa on DU-4 Ear: Ischeum, Adrenal, Buttocks, Shenmen, Lumbar, Sacrum Cold Predominant: Moxa or moxa needle DU-3, GB-39, UB-23, UB-40 Damp Predominant: needle the Jing River points on the Yin channels and the He Sea points on the Yang channels, moxa or moxa needle REN-10, REN-12, REN-13, UB-20

LUNG AND STOMACH FLUID DEFICIENCY

Clinical Manifestations	The condition occurs during or after an External febrile disease Limpness and weakness of the upper or lower limbs The hands cannot hold things The feet may be unable to support the body Severe: Paralysis Withered muscles Dry skin Heart vexation Thirst Five Sole Heat Malar flush Maybe a dry cough with scanty Phlegm A dry throat and lips Scanty, dark colored urine T: Red C: Yellow P: Thready and rapid
Treatment Principle	Clear Heat Moisten Dryness Nourish the Lungs Strengthen the Stomach
Herb Formulas	Qing Zao Jiu Fei Tang
Points	Early stage: DU-14, LI-4, LI-11, LU-5, LU-9, SP-5 Later stages: Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For coughing with scanty Phlegm: + UB-13 For painful urination: + REN-3, REN-4 For fever: + SJ-5 For constipation: + ST-25 For dry retching and hiccup: + UB-17

SPLEEN QI DEFICIENCY

Clinical Manifestations	Gradual development of limpness in the lower limbs followed by paralysis Sallow or pale white complexion Fatigue Anorexia Emaciation Lethargy and lassitude Four limbs feel tired and heavy Periodic paralysis Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Dizziness Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient or Thready and soft
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Bu Zhong Yi Qi Tang Si Jun Zi Tang With Damp Accumulation: Shen Ling Bai Du San modified
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 SP-3, UB-20, UB-21 Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For somnolence: + DU-20 For abdominal distention: + KI-20 For dull pain in the Stomach which is better with pressure: + ST-36

PHLEGM OBSTRUCTS THE HEART ORIFICE: EXHAUSTION SYNDROME

Clinical Manifestations	Sudden collapse with loss of consciousness Mouth open and hands relaxed Eyes closed Limbs cold Snoring Perspiration ("flows like oil") Incontinence of urine and feces Paralysis of the legs T: Not described P: Minute and thready - about to collapse or Superficial and big but with no root (with a red face)
Treatment Principle	Support Zheng Qi Consolidate Exhaustion Strengthen Qi Return Yang
Herb Formulas	Di Huang Yin Zi
Points	Moxa REN-4, REN-6, REN-8, ST-36

LIVER QI STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Sudden onset of enduring paralysis after strong anger Depression Susceptibility to grief A tendency to cry for no reason Lustrous skin Flank distention and pain Belching Poor appetite A bitter taste in the mouth T: Pale red C: Thin and white P: Wiry and thready
Treatment Principle	Dredge the Liver Nourish the Blood
Herb Formulas	Xiao Yao San modified
Points	LIV-3, LIV-14, UB-18, UB-20, UB-21 Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For frequent sighing: + UB-17 For flower abdominal distention and pain: + LIV-9 For a Stomach ache and regurgitation: + GB-34 or REN-13 For irregular menstruation with pale, scanty Blood: + SP-10 For insomnia: + UB-15 For dizziness: + DU-20

LIVER WIND STIRRING INTERNALLY: LIVER YANG (FIRE) RISING GENERATES WIND

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphasia Unsteady gait Paraplegia With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin Qu Feng Zhi Bao Dan
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Muscles and bones weak and paralyzed Paralysis develops gradually from weakness and limpness of the upper or more often, lower extremities Cannot walk No Spirit Emaciation Wasting flesh Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Tidal malar flush Numbness of limbs Hypertonicity of the muscles Muscular twitching Flaccid paralysis (Wei syndrome) Weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade tidal fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Scanty urination Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan He Che Da Zao Wan Hu Qian Wan Yi Sui Tang Zi Shui Qing Gan Tang Zi Shui Qing Gan Yin Zuo Gui Wan Zuo Gui Yin With Fire Flaring: Zhi Bai Di Huang Wan modified With Yin and Yang Deficiency: Hu Qian Wan modified With Damp-Heat and Blood Stagnation: Zi Shen Tang
Points	GB-30, GB-34, GB-39, ST-30, ST-36, UB-11, UB-18, UB-23 KI-3, LIV-3, SP-6, UB-18, UB-23 SP-6, UB-18, UB-23 + Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For a sore throat: + KI-6 For constipation: + ST-25 For premature ejaculation: + REN-4 For blurred vision: + GB-37 For scanty menstruation: + SP-10

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Paralysis Slight edema of the dorsum of the feet Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Fatigue Lack of strength spontaneous sweating Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Vertigo Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Lu Jiao Jiao Tang modified Jin Gui Shen Qi Wan You Gui Wan You Gui Yin
Points	Moxa or moxa needle DU-3, DU-4, KI-7, UB-23 + Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For abdominal distention and fullness: + KI-20 For daybreak diarrhea: + Moxa REN-8 For enuresis: + REN-4 For clear, thin vaginal discharge: + SP-6 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23

KIDNEY YIN DEFICIENCY WITH YANG RISING

Clinical Manifestations	Leg paralysis Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Di Huang Yin Zi Zhi Bai Di Huang Wan
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

YIN DEFICIENCY WITH DAMP-HEAT

Clinical Manifestations	No strength to move in the legs Feet hot Heart trouble T: Dry C: Little or None or White P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Resolve Dampness
Herb Formulas
Points	DU-16, GB-30, GB-34, GB-39, KI-3, SP-10, ST-30, ST-36, UB-20

QI AND YANG DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Purple and dark C: White and slimy P: Slippery, slightly slow and forceless
Treatment Principle	TonifY Qi Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang modified
Points	DU-16, DU-20, LI-4, SP-6 For Kidney Deficiency: + KI-3, UB-23 For spasmodic or tense hemiplegia: + LI-4, LIV-3 For the hemiplegia upper limbs: + select 3-5 points from the following: LI-10, LI-11, LI-14, LI-15, SJ-5 For the hemiplegia lower limbs: + select 3-5 points from the following: GB-30, GB-31, GB-34, GB-39, ST-31, ST-32, ST-36, ST-41 For constriction of the arm: + LU-5, PC-5, PC-6 For difficult flexion of the wrist: + SJ-4 For difficult movement of the thumbs: + LI-5 For swelling or numbness of the fingers: + Baxie For contraction or difficult flexion of the knee: + LIV-8, UB-40 For swelling or numbness of the toes: + Bafeng For twisting of the leg or foot toward the inside: + KI-3, KI-6, SP-4, SP-6 For twisting of the leg or foot toward the outside: + GB-39, GB-40, UB-60, UB-62 For the foot bending downward: + GB-40, LIV-4, ST-37, ST-41

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Both legs weak and paralyzed Chronic disease Dyspnea Spontaneous perspiration Yellow complexion Facial paralysis T: Pale C: White P: Empty and weak
Treatment Principle	Nourish Qi and Blood
Herb Formulas	Ren Shen Yang Rong Tang
Points	GB-30, GB-34, GB-39, ST-30, ST-36, UB-20, UB-21

BLOOD STAGNATION

Clinical Manifestations	Usually paralysis follows traumatic injury Urinary and fecal incontinence Inability to sense pain or itching Edema of the dorsum of the feet Dry, thin skin Emaciation Scaly skin Cold limbs Stabbing pain in the chest or low back T: Red with possible stasis spots C: White or yellow P: Deep, thready and choppy
Treatment Principle	Invigorate the Blood Transform Stasis Unblock the channels and collaterals
Herb Formulas	Sheng Yu Tang With Blood Deficiency: Tao Hong Si Wu Tang
Points	LI-4, SP-6 Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41

BLOOD STAGNATION DUE TO WIND-COLD WITH QI DEFICIENCY

Clinical Manifestations	Muscular paralysis Facial paralysis Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain Harmonize Yin and Yang
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points	General points

COLD-DAMPNESS

Clinical Manifestations	Paralysis follows facial edema and heavy limbs Clumsy movements Low back and spine pain and weakness Stomach oppression Abdominal distention Poor appetite Nausea Increased vaginal discharge Slight edema in the dorsum of the feet T: Enlarged with teethmarks C: Slippery and white P: Moderate
Treatment Principle	Tonify the Spleen Dry Dampness Warm and dispel Cold
Herb Formulas	Shi Pi Yin With an attack of Wind-Cold: Wu Tou Gui Zhi Tang
Points	SP-9, UB-20 Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For itching: + SP-6, SP-10 For loose stools: + ST-39 For heavy headedness: + ST-40 For lethargy with aversion to Cold: + moxa or moxa needle REN-4

DAMP-HEAT

Clinical Manifestations	Both legs weak and paralyzed Burning Heat in the limbs which is better with Cold Weak limbs Numbness Swollen feet A pale, yellow complexion A puffy face Heavy head Unsurfaced fever Stomach oppression Poor appetite Dryness and stickiness in the mouth A bitter taste in the mouth Encumbered body Dark colored urine T: Red C: Slippery and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Resolve Dampness
Herb Formulas	Si Miao Wan modified
Points	GB-20, GB-30, GB-34, GB-39, ST-30, ST-36, UB-20 GB-24, SP-9, ST-44 Upper limbs (choose three): DU-14, Huatuojiaji from T-1 to T-8 + two or three of the following: LI-4, LI-10, LI-11, LI-14, LI-15, SJ-5 Upper limbs (choose three): DU-3, UB-32, UB-34, Huatuojiaji from T-10 to L-5 + two or three of the following: ST-31, ST-32, ST-34, ST-36, ST-37, ST-41 For painful urination: + REN-3 For constipation: + ST-37 For loose stools: + ST-39 For chest oppression: + REN-17 For thick, yellow vaginal discharge: + SP-7 For jaundice: + DU-9

DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Both feet weak and paralyzed Fever Red urine Polyuria T: Normal C: Greasy P: Deep and slippery
Treatment Principle	Clear Heat and Dampness from the Lower Jiao
Herb Formulas	Si Miao Wan modified
Points	DU-16, GB-30, GB-34, GB-39, KI-3, KI-6, SP-6, ST-30, ST-36, UB-20

WEI SYNDROME DUE TO LUNG HEAT WITH FLUID DEFICIENCY

Clinical Manifestations	Flaccidity Atrophy Hysterical paralysis Periodic paralysis Fever during the initial stage of an illness or Fever followed by weakness, rapidly developing flaccidity and immobility of the extremities with muscular atrophy, and dry skin Low grade fever and Yin impairment Usually lower extremities Dry skin Restlessness Irritability Thirst Cough A dry throat Scanty sputum Scanty, yellow urine Dry stool T: Red C: Yellow and scanty P: Thready and rapid
Treatment Principle	Clear Heat from the Lungs Moisten the Lungs Nourish the tendons and bones
Herb Formulas	Qing Zao Jiu Fei Tang modified Sha Shen Mai Men Dong Tang Sheng Mai San In cases where fever is abated with loss of appetite and severe dry mouth and throat due to Lung and Stomach Yin Deficiency: Yi Wei Tang
Points	General points + LU-5, UB-13 KID-3, KID-6, LU-5, LU-7, REN-4, REN-6, SP-6, ST-36 Huatuojiaji, LI-11, LU-7, LU-9, ST-37 For Lung Dryness: KID-6, LU-7, UB-23 DU-14, KI-3, LU-5, SP-6, ST-34, ST-36, ST-45 Arm: LI-4, LI-11, LI-15, SJ-5 Leg: GB-30, GB-34, GB-39, LU-5, ST-31, ST-36, ST-41, UB-13

WEI SYNDROME DUE TO DAMP-HEAT IN THE SPLEEN AND STOMACH WITH QI AND BLOOD DEFICIENCY

Clinical Manifestations	Heaviness of the limbs Weak and flaccid extremities Occasional numbness Hysterical paralysis Periodic paralysis Facial paralysis Slight swelling in the affected extremities Most often affects the lower extremities Possibly fever Stifling sensation in the chest and epigastrium Obesity Edema Skin problems Dark, scanty, painful and difficult urination A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist T: Red C: Yellow and greasy P: Soft and rapid and possibly slippery
Treatment Principle	Clear Heat Dry Dampness Open the channels
Herb Formulas	Jia Wei Er Miao San modified Si Miao Wan modified Wu Wei Xiao Du Yin Yi Yi Ren Tang Dang Gui Nian Tong Tang
Points	General points + SP-9, UB-20 DU-8, DU-14, GB-34, LI-4, LI-11, SP-9 Huatuojiaji, LI-4, LI-11, SP-9, ST-31 to ST-41 With digestive problems: + REN-12, ST-44 DU-14, GB-31, LI-4, LI-11, SP-9 , ST-32, ST-36

WEI SYNDROME DUE TO SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Gradual onset of flaccidity and weakness of the extremities aggravated by exertion Gradual loss of muscle mass Hysterical paralysis Periodic paralysis Facial paralysis Sallow complexion Facial puffiness Fatigue Lassitude Anorexia No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Urine clear and abundant T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient or Thready and forceless
Treatment Principle	Tonify and Strengthen the Spleen and Stomach Augment Qi
Herb Formulas	Shen Ling Bai Zhu San modified Shi Quan Da Bu Tang Gui Pi Tang With Blood Stasis: Bu Yang Huan Wu Tang For obesity with excessive Phlegm: Liu Jun Zi Tang For significant Qi Deficiency or Qi Sinking: Bu Zhong Yi Qi Tang Chinese patent medicine: Ba Xian Tang
Points	General points + REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 REN-12, SP-6, UB-20 DU-5, DU-6, LI-10, ST-36, UB-20, UB-21 LIV-13, REN-6, REN-12, SP-3, SP-5, SP-6, ST-21, ST-36, UB-20, UB-21 Huatuojiaji, REN-6, SP-6, SP-9, ST-31 to ST-41 For vertigo: + DU-20, GB-20 DU-3, LIV-13, REN-12, SP-3, ST-31, ST-36, UB-20, UB-21

FENG TAN

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Ding Xuan Tang
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

TAN YIN (PHLEGM-DAMPNESS)

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Qing Shi Hua Tan Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

PARALYSIS, PARAPLEGIA, QUADRIPLEGIA

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas